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HomeMy WebLinkAboutG L HOFF - INSURANCE CERTIFICATEClient#: 24740 GLHOF ACORD- CERTIFICATE OF LIABILITY INSURANCE DAT 12/181060nvrr) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: St. Paul Travelers Insurance Company G.L. Hoff Company INSURER B: Pinnacol Assurance 1815 W 12th Street; P.O. Box 7448 Loveland, CO 80537 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN3R LTR ADD NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE MM DD POLICY EXPIRATION DATE MWDDnY LIMBS A GENERAL LIABILITY DTC0325D6515TIL07 01/01/07 03/01/07 EACH OCCURRENCE $1000000 OMGENERAL LIABILITY Cncel DAMAGE TO REN TEDMERCIAL $300 000 CLAIMS MADE 51OCCUR MED EXP (Any one person) $j 00Q PERSONAL &ADV INJURY $1 00Q 000 X PCDed:2,500 GENERAL AGGREGATE S2,000.000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS - COMP/OP AGG $2 00Q 000 POLICY PRO LOC JECT A AUTOMOBILE LIABILITY ANY AUTO DT810325D6515TIL07 .-`' ' a10V07, �� ! Y 03101J0# r q 'N' I� COMBINED SINGLE LIMIT (Ea accident) $1,000,D0D X BODILY INJURY (Per person) $ ALL OWNED AUTOS SCHEDULED AUTOS - HIREDAUTOS NON-OWNEDAUTOS - zoos X BODILY INJURY (Per accident) $ X RISK MANAGEMENT •�.ULL INS PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC $ ANY AUTO $ AUTO ONLY: AGG A EXCESS/UMBRELLALIABILITY _X1 OCCUR 7 CLAIMS MADE DTSMCUP325D6515TIL 01/01/07 03/01/07 EACH OCCURRENCE $1 000000 AGGREGATE $1 00Q 000 DEDUCTIBLE X RETENTION $ 10000 $ B WORKERS COMPENSATION AND 2242590 01/01/07 01/01/08 X WC LIMIT 1 0rR EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE E.L. EACH ACCIDENT $500,000 E.L. DISEASE - EA EMPLOYEE $500,000 OFFICERIMEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $500,000 A OTHER QT6606062BO90TIL07 01/01/07 03/01/07 Limit $1,000,000 Builders Risk Deductible $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS / VEHICLES! EXCLUSIONS ADDED BY ENDORSEMENT / SPECIAL PROVISIONS Certificate holder is named as additional insured as their interest may appear in regards to the operations of the named insured. (Excluding Workers' Compensation) Bond Renewal City of Fort Collins Bond Renewal P.O. Box 580 Fort Collins, CO $0522 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 'AD_ DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR PrY Vr " tCYY "0) 1 oT [ FFM366994 TJR 0 ACORD CORPORATION 1988 ACORD. CERTIFICATE OF LIABILITY INSURANCE �2/18/06D"Y""' PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P O Box 270370 Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: St. Paul Travelers Insurance Company G.L. Hoff Company INSURER B: Pinnacol Assurance 1815 W 12th Street; P.O. Box 7448 INSURER C: Loveland, CO 80537 INSURER D: INSURER E: rnucoer_oc THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NSR TYPE OF INSURANCE POLICY NUMBER DATE IMM CY EFFECTIVE DATE EXPIRATION LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE 51OCCUR X PD Ded:2,500 DTC0325D6515TIL07 01/01/07 03/01/07 EACH OCCURRENCE $1 000 000 DAMAGE TO RPREmis ENTED $300 000 MED EXP (Any one person) $5 000 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRO- POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $2000000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DT810325D6515TIL07 CITY 01/01/07 ft :,1e , ei - - - Of :'uit i 03/01/07_ _ r' d � 11yy.�, Jy.p 06 uLLINS COMBINED SINGLE LIMIT (Ea accident) $1,000,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROP ciTY DAMAGE (PeGARAGE $ LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ OTHER THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS/UMBRELLALIABILITY X1 OCCUR CLAIMS MADE DEDUCTIBLE X RETENTION $ 10000 DTSMCUP32SD6515TIL 01/01/07 03/01/07 EACH OCCURRENCE $1000000 AGGREGATE $1 000 000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? SPECIAL Pribe under ROVISIONS below 2242590 01/01/07 01/01/08 X WC STATU- CT" - E.L. EACH ACCIDENT $500,000 E.L. DISEASE-EAEMPLOYEE $500,000 E.L. DISEASE -POLICY LIMIT $500,000 A OTHER Builders Risk QT6606062BO90TIL07 01/01/07 03/01/07 Limit $1,000,000 Deductible $1,000 DESCRIPTION OF OPERATIONS / LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Pedestrian Bridges Certificate holder is named as additional insured, but only as respects liability arising out of work performed by the named insured (Excluding Workers' Compensation). City of Fort Collins PO Box 580 Fort Collins, CO 80522 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL _30_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL iE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED AUUKL/ 25 jZUUT/UU) 1 of 2 #M366994 TJR 0 ACORD CORPORATION 1988 ACORDTM CERTIFICATE OF LIABILITY INSURANCE 12/18/06DNYYY) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Flood & Peterson Insurance Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 4821 Wheaton Drive HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P O Box 270370 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Fort Collins, CO 80527 INSURERS AFFORDING COVERAGE NAIC # INSURED INSURER A: St. Paul Travelers Insurance Company G.L. Hoff Company INSURER B: Pinnacol Assurance 1815 W 12th Street; P.O. BOX 7448 INSURER C: Loveland, CO 80537 INSURER D: INSURER E: GUVIzKAGtJ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN58 LTR ROD' NSR TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE DATE (MMIDDffYI POLICY EXPIRATION DATE jKMjPDrM LIMITS A GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY CLAIMS MADE F—X] OCCUR X PD Ded:2,500 DTC0325D6515TIL07 01/01/07 03/01/07 EACH OCCURRENCE $1 000 000 DAMAGE TO RENTPREMISE (E...ED $300 000 MED EXP (Any one person) $5 000 PERSONAL & ADV INJURY $1 000 000 GENERAL AGGREGATE $2 000 000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY PRO LOC JECT PRODUCTS - COMP/OP AGG $2 000 000 A AUTOMOBILE LIABILITY ANY AUTO ALL OWNED AUTOS SCHEDULED AUTOS HIRED AUTOS NON -OWNED AUTOS DT810325D6515TIL07 01/01/07 03/01/07 COMBINED SINGLE LIMIT (Ea accident) $1,000 ,000 X BODILY INJURY (Per person) $ X BODILY INJURY (Per accident) $ X PROPERTY DAMAGE (Per accident) $ GARAGE GARAGE LIABILITY ANY AUTO AUTO ONLY - EA ACCIDENT $ THAN EA ACC AUTO ONLY: AGG $ $ A EXCESS/UMBRELLALIABILITY X1 OCCUR I I CLAIMS MADE DEDUCTIBLE X RETENTION $ 10000 DTSMCUP325D6515TIL 01/01/07 03/01/07 EACH OCCURRENCE $1 000000 AGGREGATE $1 000 000 $ $ B WORKERS COMPENSATION AND EMPLOYERS' LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? If yes, describe under SPECIAL PROVISIONS below 2242590 01101/07 01/01/08 X WC STATU- OTH- PR E.L. EACH ACCIDENT $5001000 E.L. DISEASE - EA EMPLOYEE $500,000 E.L. DISEASE -POLICY LIMIT s500,000 A OTHER Builders Risk QT6606062B090TIL07 01/01/07 03/01/07 Limit $1,000,000 Deductible $1,000 DESCRIPTION OF OPERATIONS I LOCATIONS / VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS RE: Bid #5878 Pedestrian Bridge and Abutments City of Fort Collins Attn: John Stephen 215 N. Mason St., Second Floor PO Box 580 Fort Collins, CO 80522-0580 LD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30_ DAYS WRITTEN :E TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL IE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR AUTHORIZED ^.. ..'� t'w rrvu/ T OT L 4111135W394 TJR 0 ACORD CORPORATION 1988